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�.. y <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> LOCAL OVERSIGHT PROGRAM <br /> Responsible Party Information as of 6/15/2005 <br /> LOP SITE FILE INFORMATION <br /> Case# 506171 Local A,gencv Cse Only <br /> Site Name FREMONT SHELL- Remedial Oversight <br /> Record ID 800000251v` <br /> Location 2494 E FREMONT ST Site Record ID SD0000251 <br /> STOCKTON,CA 95205 Facility Record ID FA0003863 <br /> Phone 209-957-5398 Current Site Business FREMONT SHELL* <br /> APN 153-280-08 <br /> The following information is currently on file with this Department. The Primary Responsible Partv <br /> identified below will be responsible for payment of invoices for direct oversight charges associated with this <br /> site. If this billing information is not accurate, please make necessary chances in the space provided, date, <br /> sign and return this form. <br /> Make changesicorrections in RED ink or pencil. <br /> RESPONSIBLE PARTY INFORMATION RP INFORMATION CHANGE(date) <br /> PRI-RP has been named a Primary RP. <br /> Business Name SHELL OIL PRODUCTS US <br /> Contact DENIS L BROWN <br /> Address 20945S WILMINGTON AVE <br /> CARSON,CA 90810-1039 <br /> Phone <br /> cp, 60 ;Zelele7 <br /> BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operator,primary responsible party,or agent of same,acknowledge that all <br /> site,and/or project specific,EHD hourly charges associated with this site will be billed to the party identified as the PRIMARY RESPONSIBLE PARTY on this <br /> form. I also certify that all operations will be performed in accordance with all applicable Ordinate Codes and/or Standards and State and/or Federal Laws. <br /> PRINTED NAME: TITLE: <br /> REPRESENTING: <br /> SIGNATURE: Date / / <br /> Report#8021 Dale 6/15/2005 <br />